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Be aware how your voice works. Have you ever pulled the open end of an air filled balloon tight and the air rushes out at a squeal like pitch, then the more you open the balloon, the quieter and lower the pitch gets. This is a literal representation of your vocal chords.
The indications for transnasal fiberoptic vocal cord injection are the same as for vocal cord injection by the percutaneous or transoral route. In some cases, this technique may be more readily tolerated by patients who would not be candidates for the other injection techniques.